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Participation trajectories: impact of school transitions on children and adolescents with cerebral palsy

IMMS C; ADAIR B
DEV MED CHILD NEUROL , 2017, vol. 59, n° 2, p. 174-182
Doc n°: 182180
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/dmcn.13229
Descripteurs : AJ23 - PARALYSIE CEREBRALE

AIM: To describe participation trajectories, and impact of school transitions on
those trajectories, of children with cerebral palsy (CP). METHOD: This
population-based longitudinal study assessed participation in activities outside
school of children with CP born in 1994/1995. Eligible children contributed data
between two and five occasions over 9 years, and had parents with sufficient
English proficiency to complete the measures: the Children's Assessment of
Participation and Enjoyment, and the Preferences for Activities of Children.
Linear mixed models were used to assess the relationships between participation
and age and the impact of transition. RESULTS: At study commencement (2006), 233
children with CP born in 1994/1995 were registered in Victoria; 93 (51 males, 42
females; mean age 11y 2mo, age range 10-12y) contributed longitudinal data.
Participation diversity and intensity decreased over time for recreational,
active physical, and self-improvement activities (p<0.009). Social participation
increased over time: diversity, intensity, and frequency (p<0.007). All of the
identified slopes were generally small (beta</=0.11, 1-point change every 9y)
except for recreational diversity scores (beta=-0.29). Transition from primary
and secondary school had little impact on participation. INTERPRETATION: Findings
of increased social participation over time are encouraging. Declining
participation in other activity types suggests that action is needed to ensure
that meaningful recreation and leisure activities are maintained as adolescents
with CP transition to adulthood.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS

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